Bronander-Futility

Question 1

What is physiologic futility?

Answer 1

Physical deterioration has progressed to the point where no known intervention can reverse the decline.

Question 2

What is probabilistic futility?

Answer 2

effort to provide a benefit to a patient, which reason & experience suggests is highly likely to fail

Question 3

What is probabilistic futility?

Answer 3

effort to provide a benefit to a patient, which reason & experience suggests is highly likely to fail
**will it really help likely

Question 4

What is qualitative futility?

Answer 4

The judgment that the goal that might be attained is not worthwhile
**judges whether the quality of life attained thru treatment is worth it.

Question 5

T/F Because we have the technology to continue interventions, we have an ethical responsibility to always take those actions.

Answer 5

False. Have to think about futility, don’t necessarily need to use the tech we have.

Question 6

HOw should you discuss a code status in a terminally ill patient?

Answer 6

1. clarify patient prognosis
   - -goals (Die at home w/ family, in hospital)
2. code procedure
   - -risks & benefits
   - includes CPR, defib, meds, intubation
3. recommendation

Question 7

What is POLST?

Answer 7

physician order for life sustaining treatment
if you are going to die w/i 5 years
fill this out & give all specifics so that physicians know what to do.
**also, fill out with the physician